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Urethral Stricture Surgery (Urethroplasty / DVIU / Dilation)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, Supine, arms tucked, Exaggerated lithotomy in boot stirrups for the perineal phase, legs lowered periodically in long cases.
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Blocks : Pudendal, Caudal
Considerations : Fluoroscopy / Xray, PONV, Anticoagulation / Antiplatelet Therapy, Throat Pack, Prolonged Lithotomy / Well-Leg Compartment

Anesthetic Approaches

1Nasal Rae, GETT
2GLMA
3Spinal
The Surgery

Defining the stricture - Length and location are established before the case with retrograde urethrography, voiding cystourethrography, or flexible cystoscopy , and are often reconfirmed on the...

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